Morton's Neuroma is a fairly common benign nerve enlargement usually developiong between the third and fourth metatarsals and most often found in women. Usually noticed as a pain between the toes or a numbness of the sides of two adjacent toes affecting the third intermetatarsal space. Morton's neuroma may feel as if you are standing on a pebble in your shoe or on a fold in your sock. In some cases, Morton's neuroma causes a sharp, burning pain in the ball of your foot. Your toes also may burn, sting or feel numb.
Morton's Neuroma is caused by irritation and inflammation leading to fibrosis of branches of the medial and lateral plantar nerve as they converge near the third and fourth metatarsal heads. Also contributing factors include, injury, repetitive micro trauma, restrictive/tight shoes, high-heeled shoes, and abnormal foot biomechanics. In most cases to narrow of shoes is the main cause along with improper support. The metatarsal bones are forced together and impinge on the nerve and cause the nerve to send a feeling of a wadded up sock or ball underneath the ball of the foot. This feeling tends to be relieved when the shoes are removed and their is no weight on the foot.
Most times the symptoms of the a Neuroma can be treated through the use of an over the counter insert with a metatarsal pad or pocket to take the pressure off of the effected area. Rocker bottom shoes may be beneficial if pain persists, due to the stiffness of the sole and shape it is proven to reduce pressure in the ball of the foot by nearly 20%. Cortizone injections will often times be used to relieve the pain of the effected area as well as reduces the inflamation of the nerve and can bring relief. If pain persists surgery is an option and is done by insicion on the top of the foot which brings relief to the effected area.
Corey's Bootery Certified Pedorthist Recommendations:
Properly fit shoes with wide toe box, metatarsal pads, rocker soles and functional foot orthotics. We also recommend a consultation with your podiatrist/orthopedist for a prescription. Please click here for a list of Kalamazoo and Battle Creek area providers.